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目的探讨儿童川崎病合并无菌性脑膜炎的临床特点、诊断及治疗。方法对我院6年来收治的6例川崎病合并无菌性脑膜炎患儿进行回顾性分析。结果川崎病合并无菌性脑膜炎年龄为3个月~40个月,平均年龄为13个月,男>女。早期的临床表现缺乏特异性,以发热、颅内压增高和惊厥为主要表现,易与病毒性脑膜炎相混淆。结论川崎病合并无菌性脑膜炎的典型症状发生于颅内症状之后,当发现长期高热不退的病毒性脑膜炎患儿,除了与细菌性脑膜炎鉴别外,应注意与川崎病合并无菌性脑膜炎相鉴别。
Objective To investigate the clinical features, diagnosis and treatment of childhood Kawasaki disease complicated with aseptic meningitis. Methods Six cases of Kawasaki disease with aseptic meningitis admitted to our hospital in 6 years were retrospectively analyzed. Results Kawasaki disease with aseptic meningitis age of 3 months to 40 months, the average age of 13 months, male> female. Early lack of specificity of clinical manifestations, fever, increased intracranial pressure and convulsions as the main performance, easily confused with viral meningitis. Conclusion Kawasaki disease associated with aseptic meningitis typical symptoms occurred after intracranial symptoms, when found in children with long-term fever refractory meningitis, in addition to identification of bacterial meningitis, should pay attention to Kawasaki disease with sterile Meningitis phase identification.